Provider Demographics
| NPI: | 1720572415 |
|---|---|
| Name: | APC-AMARILLO SURGICAL OPERATING COMPANY, LLC |
| Entity type: | Organization |
| Organization Name: | APC-AMARILLO SURGICAL OPERATING COMPANY, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF ADMINISTRATIVE OFFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CHRISTINA |
| Authorized Official - Middle Name: | ROBIN |
| Authorized Official - Last Name: | SONS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 512-244-4272 |
| Mailing Address - Street 1: | 101 W LOUIS HENNA BLVD STE 300 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | AUSTIN |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78728-1203 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 512-341-2273 |
| Mailing Address - Fax: | 512-341-3406 |
| Practice Address - Street 1: | 1901 MEDI PARK DR STE 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | AMARILLO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 79106-2110 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 512-341-2273 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-06-18 |
| Last Update Date: | 2025-10-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |